Authors: Palmero, D.¹; Ritacco, V.²; Ruano, S.³; Ambroggi, M.⁴; Cusmano, L.³; Romano, M.³; Bucci, Z.³; Waisman, J.¹

Source: The International Journal of Tuberculosis and Lung Disease, Volume 9, Number 10, October 2005 , pp. 1168-1170(3)

Publisher: International Union Against Tuberculosis and Lung Disease

Abstract:

We describe the first outbreak of multidrug-resistant tuberculosis (MDR-TB) that occurred in Argentina among transvestite sex workers, and actions undertaken for its control. In Buenos Aires city, transmission was documented between 2001 and 2004 by conventional and molecular methods in a hotel where transvestites used to reside and work. The source case was traced back to 1998. Six secondary cases were diagnosed and treated. Thirty-two contacts were investigated. The outbreak strain had formerly caused nosocomial transmission in Rosario, a city 300 km from Buenos Aires. Our findings highlight the difficulties controlling MDR-TB in Argentina.

Keywords: multidrug-resistant tuberculosis; transvestite; epidemic outbreak

Document Type: Short communication

Affiliations: 1: Tuberculosis Multirresistente/SIDA, Hospital Muñiz, Buenos Aires, Argentina 2: Laboratorio de Micobacterias, Instituto Nacional de Enfermedades Infecciosas Administración Nacional de Laboratorios e Institutos de Salud (INEI ANLIS) Malbrán, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina 3: Servicio de Promoción y Protección de la Salud, Hospital Muñiz, Buenos Aires, Argentina 4: Laboratorio de Bacteriología de la Tuberculosis A Cetrángolo, Hospital Muñiz, Buenos Aires, Argentina

Publication date: 2005-10-01

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• The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

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